Active NPI
Kristina G. Landry, N.P.
- Psychiatric/Mental Health Nurse Practitioner
- Ville Platte, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- AP04414
- Practice address
- 1257 Mayeauxville Rd
Ville Platte, LA 70586-8409 - Phone
- (337) 506-2294
- NPI assigned
- Jul 31, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | AP04414 | LA | Primary |
| Family Nurse Practitioner | 363LF0000X | AP04414 | LA |
Addresses
Primary practice location
1257 Mayeauxville Rd
Ville Platte, LA 70586-8409
Mailing address
1008 W Main St
Ville Platte, LA 70586-4208
Phone (337) 506-2294
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1342416 | Medicaid | LA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1257 Mayeauxville Rd
Ville Platte, LA 70586-8409
Phone (337) 831-1704
724 W Magnolia St
Ville Platte, LA 70586-4320
Phone (337) 506-2294
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP04414 | LA | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vital Healthcare Solutions LLC | Current | Accepting new patients | |
| Wellspring Wound Care, LLC | Past | Accepting new patients | |
| LLC-II, LLC | Past | Accepting new patients | |
| La Bonne Vie Family Healthcare & Aesthetics, LLC | Past | Accepting new patients | |
| Mdhpx, LLC | Family | Past | Accepting new patients |
Ownership & related parties
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Magnolia Therapeutics | Rural health clinic | 5% Or Greater Direct Ownership Interest (50%) General Partnership Interest (50%) Corporate Officer (50%) Operational/Managerial Control (50%) |
Sep 6, 2022 Sep 6, 2022 Sep 6, 2022 Sep 6, 2022 |
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
dba Magnolia Therapeutics
- Rural Health Clinic/Center
- Ville Platte, LA
- NPI 1598473415
5% Or Greater Direct Ownership Interest, Corporate Officer, General Partnership Interest, Operational/Managerial Control
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Magnolia Therapeutics
- Rural Health Clinic/Center
- Ville Platte, LA
- NPI 1598473415
-
- Psychiatric/Mental Health Nurse Practitioner
- Ville Platte, LA
- NPI 1396126074
-
- Rural Health Clinic/Center
- Ville Platte, LA
- NPI 1235596024
-
dba Evangeline Extended Care Hospital
- General Acute Care Hospital
- Mamou, LA
- NPI 1205045630
-
- General Practice Physician
- Lafayette, LA
- NPI 1508629122
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba LaSalle General Hospital
- General Acute Care Hospital
- Jena, LA
- NPI 1801825005
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1630454400000",
"number": "1639185671",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1008 W MAIN ST",
"city": "VILLE PLATTE",
"state": "LA",
"postal_code": "705864208",
"telephone_number": "337-506-2294"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1257 MAYEAUXVILLE RD",
"city": "VILLE PLATTE",
"state": "LA",
"postal_code": "705868409",
"telephone_number": "337-506-2294"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANDRY",
"first_name": "KRISTINA",
"middle_name": "G.",
"credential": "N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-31",
"last_updated": "2021-09-01",
"certification_date": "2021-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "LA",
"license": "AP04414",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "LA",
"license": "AP04414",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1342416",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ville Platte, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.